使用 Kinect 传感器测量三维可及工作空间，以评估老年人的上肢功能。

Use of the Kinect sensor measured three-dimensional reachable workspace to assess the upper extremity function in older adults.

机构信息

Department of Rehabilitation Medicine, National Medical Center, Seoul, Republic of Korea.

Department of Orthopaedic Surgery, University of California at San Francisco, San Francisco, CA, United States of America.

出版信息

Clin Biomech (Bristol). 2022 Oct;99:105767. doi: 10.1016/j.clinbiomech.2022.105767. Epub 2022 Sep 16.

DOI:10.1016/j.clinbiomech.2022.105767

PMID:36150288

Abstract

BACKGROUND

We explored the utility of Kinect sensor-based upper extremity reachable workspace measure in healthy adults aged over 65 years.

METHODS

Forty-three healthy older subjects (19 men and 24 women) aged over 65 years and 22 healthy young subjects (11 men and 11 women) were included. All participants were ambulatory and perform the activities of daily living independently. Three-dimensional reachable workspace data were acquired for both arms using the Kinect sensor. We evaluated hand grip strength, manual muscle shoulder strength, and the active shoulder ranges of motion of the dominant and non-dominant sides. We assessed upper limb function using the Disabilities of Arm, Shoulder, and Hand (DASH) instrument and the health-related quality of life employing the descriptive EQ-5D-5L system.

FINDINGS

The quadrant 3 relative surface area in older adults was significantly smaller than that of young adults (both dominant and non-dominant sides), while the total and quadrants 1, 2, and 4 relative surface areas did not differ between older and young adults. However, the quadrant 3 relative surface area did not correlate with the DASH or EQ5D scores. The total and quadrant 1, 2, and 4 relative surface areas of the dominant side significantly correlated with the DASH score. The quadrant 4 relative surface area of the dominant side significantly correlated with the EQ5D score.

INTERPRETATION

Kinect sensor-based, three-dimensional, reachable workspace analysis may be useful to evaluate upper limb function in older adults.

摘要

背景

我们探索了基于 Kinect 传感器的上肢可触及工作空间测量在 65 岁以上健康成年人中的应用。

方法

纳入 43 名 65 岁以上的健康老年人（19 名男性和 24 名女性）和 22 名健康年轻人（11 名男性和 11 名女性）。所有参与者均能行走并独立完成日常生活活动。使用 Kinect 传感器获取双侧上肢的三维可触及工作空间数据。我们评估了手抓握力、肩部手动肌肉力量以及优势侧和非优势侧主动肩部活动范围。使用手臂、肩和手残疾（DASH）量表评估上肢功能，使用描述性 EQ-5D-5L 系统评估健康相关生活质量。

发现

老年人的象限 3 相对表面积明显小于年轻人（优势侧和非优势侧），而老年人和年轻人的总表面积和象限 1、2 和 4 相对表面积无差异。然而，象限 3 相对表面积与 DASH 或 EQ5D 评分无关。优势侧的总表面积和象限 1、2 和 4 相对表面积与 DASH 评分显著相关。优势侧的象限 4 相对表面积与 EQ5D 评分显著相关。